Coordinated Access to Care From Hospital Emergency Departments (CATCH-ED)

Coordinated Access to Care From Hospital Emergency Departments - Assessing Effectiveness and Cost-Effectiveness

The study will assess the effectiveness and cost-effectiveness of providing brief, intensive case management for frequent users of hospital Emergency Departments who have mental health and/or addictions problems. The goals of the intervention are to support patients' transition to community-based health and social services and supports - including primary and urgent psychiatric care, peer support and other community services and supports - so as to improve patient wellbeing and reduce avoidable ED visits and hospitalizations.

Study Overview

• Status: Completed
• Conditions: Mental Health
• Intervention / Treatment: Other: Co-ordinated Access to Care from Hospital Emergency Departments; Other: Coordinated Access to Care from Hospital Emergency Departments; Behavioral: Counseling and Resource Education

• Study Type: Interventional
• Enrollment (Actual): 166
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Canada
  • Ontario
    • Toronto, Ontario, Canada, M5B 1W8
      • St. Michael's Hospital
    • Toronto, Ontario, Canada, M5S 2N9
      • St. Michael's Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• legal adult status (age 18)
• able to give informed consent
• have made 5+ visits to participating hospital Emergency Department in the previous 12 months
• One of these visits will have been for a mental health and/or addiction problem.

Exclusion Criteria:

-

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Intervention arm; Participants will receive brief, intensive case management to connect them to health and social services and supports in the community	Other: Co-ordinated Access to Care from Hospital Emergency Departments; brief, intensive case management for frequent users of hospital Emergency Departments who have mental health and/or addictions problems; Other: Coordinated Access to Care from Hospital Emergency Departments; Participants will receive brief, intensive case management to connect them to health and social services and supports in the community
Active Comparator: Counseling and Resource Education (CARE); Participants will receive care as usual in the community. In addition, participants in this arm will receive an educational session and resource guide outlining available community-based services	Behavioral: Counseling and Resource Education; Participants will receive usual care as well as an educational session and resource guide outlining community-based services

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Frequency of Emergency Department visits	Baseline, 6 and 12 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Changes in symptom severity	A scales with good psychometric properties, the Colorado Symptom scale, will be used	Baseline, 6 and 12 months
Days in hospital		baseline, 6 and 12 months
Changes in substance use	The Addiction Severity index will be used	baseline 6 and 12 months
Changes in health related quality of life	The SF-12 and EQ-5D will be used	baseline, 6 and 12 months

Collaborators and Investigators

• Sponsor: Unity Health Toronto
• Collaborators: Ontario Ministry of Health and Long Term Care
• Investigators: Principal Investigator: Vicky Stergiopoulos, MD, MHSc, Unity Health Toronto

Publications and helpful links

General Publications

• Stergiopoulos V, Gozdzik A, Tan de Bibiana J, Guimond T, Hwang SW, Wasylenki DA, Leszcz M. Brief case management versus usual care for frequent users of emergency departments: the Coordinated Access to Care from Hospital Emergency Departments (CATCH-ED) randomized controlled trial. BMC Health Serv Res. 2016 Aug 24;16(1):432. doi: 10.1186/s12913-016-1666-1.

Study record dates

Study Major Dates

• Study Start: November 1, 2012
• Primary Completion (Actual): September 1, 2013
• Study Completion (Actual): September 1, 2014

Study Registration Dates

• First Submitted: June 4, 2012
• First Submitted That Met QC Criteria: June 14, 2012
• First Posted (Estimate): June 19, 2012

Study Record Updates

• Last Update Posted (Estimate): October 30, 2014
• Last Update Submitted That Met QC Criteria: October 29, 2014
• Last Verified: June 1, 2012

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Disease Attributes; Emergencies
• Other Study ID Numbers: StMichael